Summary of Cirrhosis
Flashcards on Cirrhosis
Liver cirrhosis can develop into (neoplasm) .
Questions on Cirrhosis
A 65-year-old man with a history of cirrhosis and hepatocellular carcinoma (HCC) comes to the emergency department because of 3 weeks of mild but increasing abdominal pain. He has a history of ascites refractory to salt restriction and diuretic therapy. He endorses intermittent chills, but no nausea or diarrhea. The patient denies constipation and black stools, but endorses a notable decrease in how much urine he has produced in the past week. Physical exam shows the patient’s temperature is 37.8°C (100°F), with otherwise normal vital signs. Examination of his abdomen shows shifting dullness by percussion. An abdominal ultrasound shows ascites and no signs of hydronephrosis. Laboratory studies are shown below:
Creatinine 3.56 mg/dL, today
1.50 mg/dL, at an outpatient provider visit 1 month ago
Negative for nitrites and leukocyte esterase
0-2 RBCs per high powered field
0-1 WBC per high powered field
No evidence of casts or proteinuria
Which of the following is the most likely cause for this patient’s increased creatinine?